Active NPI
Shellie E Cheatham, CRNA
- Certified Registered Nurse Anesthetist
- Flowood, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R851029
- Practice address
- 2550 Flowood Dr
Suite 400
Flowood, MS 39232-9303 - Phone
- (601) 933-9521
- Fax
- (601) 933-9525
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R851029 | MS | Primary |
Addresses
Primary practice location
2550 Flowood Dr
Suite 400
Flowood, MS 39232-9303
Mailing address
2550 Flowood Dr
Suite 400
Flowood, MS 39232-9303
Phone (601) 933-9521
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07620769 | Medicaid | MS |
Other names 1
- Mrs. Shellie Jones Cheatham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1026 N Flowood Dr
Jackson, MS 39232-9532
Phone (601) 932-1000
1030 River Oaks Dr
Flowood, MS 39232-9553
Phone (601) 932-1030
Hospital & facility affiliations
- Merit Health River Oaks
- Merit Health Women'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R851029 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Anesthesia Consultants PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| State of Mississippi-University of Mississippi Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2550 Flowood Dr
Ste 400
Flowood, MS 39232
Phone (601) 933-9521
1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
969 Lakeland Dr
Jackson, MS 39216
Phone (601) 200-4644
970 Lakeland Dr
Ste 15
Jackson, MS 39216
Phone (601) 200-2932
971 Lakeland Dr
Jackson, MS 39216
Phone (601) 939-5922
Interoperability endpoints
- scheatham219412@ummc.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1750300836
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Nurse Practitioner
- Jackson, MS
- NPI 1699857433
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Flowood, MS
- NPI 1396792032
-
- Women's Hospital
- Jackson, MS
- NPI 1285681841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1407912702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 FLOWOOD DR",
"address_2": "SUITE 400",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329303",
"telephone_number": "601-933-9521",
"fax_number": "601-933-9525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 FLOWOOD DR",
"address_2": "SUITE 400",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329303",
"telephone_number": "601-933-9521",
"fax_number": "601-933-9525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEATHAM",
"first_name": "SHELLIE",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R851029",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07620769",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLIE",
"last_name": "CHEATHAM",
"middle_name": "JONES",
"prefix": "MRS.",
"credential": "CRNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.